Mental Health Book

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Body Dysmorphic Disorder

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  1. Epidemiology
    1. Incidence
      1. General population: 1.9%
      2. Psychiatric outpatients: 12%
    2. Pursuit of surgical correction in 50% of BDD patients
  2. Risk Factors
    1. Not married
    2. Living with parents
    3. Female college student
  3. Associated Conditions
    1. Anorexia
    2. Atypical Depression
    3. Obsessive-Compulsive Disorder
    4. Social Anxiety
  4. Signs
    1. Preoccupation with physical appearance
      1. Facial flaws are most common preoccupation
      2. Imagined defect or Slight defect
    2. Associated Compulsive Behaviors
      1. Mirror checking
      2. Excessive grooming
      3. Skin picking
    3. Disordered functioning
      1. Severe distress
      2. Impaired work or social functioning
      3. Suicidal Ideation or attempt
  5. Management
    1. Treating the physical "defect" does not resolve body dysmorphic disorder
      1. Crerand (2005) Psychosomatics 46(6):549
    2. Pharmacotherapy is similar to Obsessive Compulsive Disorder
      1. Selective Serotonin Reuptake Inhibitors (SSRIs)
        1. Requires high end of dosing range
      2. Clomipramine (Anafranil)
  6. Resources
    1. Claiborn (2002) The BDD Workbook, New Harbinger Publications
      1. Paid Link to Amazon.com (ISBN 1572242930)
    2. Phillips (2005) The Broken Mirror, Oxford University Press
      1. Paid Link to Amazon.com (ISBN 0195167198)
    3. Los Angeles Body Dysmorphic Disorder Clinic
      1. http://www.bddclinic.com/bddresearchstudies.html
  7. References
    1. Hollander (1999) Arch Gen Psychiatry 56:1033

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